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研究生: 林恆寧
Lin, Heng-Nin
論文名稱: 個案研究:社會故事教學法對疑似注意力不足過動症幼兒語用能力之探究
A Case Study of Social Story Teaching Method for Suspected Attention Deficit Hyperactivity Disorder Preschool Student's Pragmatic Competence
指導教授: 張鑑如
Chang, Chien-Ju
口試委員: 王馨敏
Wang, Hsin-Min
陳修元
Chen, Shiou-Yuan
張鑑如
Chang, Chien-Ju
口試日期: 2023/07/10
學位類別: 碩士
Master
系所名稱: 人類發展與家庭學系
Department of Human Development and Family Studies
論文出版年: 2023
畢業學年度: 111
語文別: 中文
論文頁數: 123
中文關鍵詞: 社會故事語用能力疑似注意力不足過動症
英文關鍵詞: Social Stories, Pragmatic Competence, Suspected Attention Deficit Hyperactivity Disorder
研究方法: 單一受試法
DOI URL: http://doi.org/10.6345/NTNU202300885
論文種類: 學術論文
相關次數: 點閱:128下載:20
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  • 語言是我們重要的溝通工具, 零到六歲是溝通能力的關鍵期。溝通出現在不同的社會互動情境中,其表現和語用能力息息相關,因此在情境中如何使用語言是幼兒階段的重要能力。對於疑似注意力不足過動症的孩子可能會受到不專注、衝動的特質,在語用發展上有所困難,例如:無法理解他人的意思、無法使用適切的語句表達自己的想法。在教學上需提供進一步的輔導策略提升語用能力。本研究利用社會故事「生活化」的編寫特性,以及具「結構性」的句型組織架構,幫助疑似注意力不足過動症幼兒在生活中常因其特質所產生的語用困境作為社會故事內容設計進行教學。
    本研究旨在探討社會故事教學法對於疑似注意力不足過動症幼兒語用能力的成效。研究對象為一位四歲疑似注意力不足過動症幼兒,研究方法採單一受試法A-B-M設計,包括基線期(A)、介入期(B)、追蹤期(M)三個階段,共進行十一週。在基線期預先觀察個案語用能力基礎;接著於介入期期間進行五則不同主題的社會故事教學,每則故事將進行兩次教學:第一次教學為社會故事唸讀;第二次教學為進行該主題之社會情境扮演;於介入撤除後,隨即進入追蹤期觀察語用能力表現的情形,最後將各階段所得資料使用視覺分析法及C統計進行分析,搭配質性的觀察紀錄進行分析。研究結果發現社會故事教學法對疑似注意力不足過動症幼兒之語用能力在介入期期間具有立即成效,並於介入撤除後仍具有維持效果,達到提升個案語用能力的成效。最後根據研究經驗與結果對未來研究與教學實務提出相關建議供教學工作者參考。

    Language is an important tool for communication, and the age range of 0-6 is a critical period for developing communication skills. Communication occurs in various social interaction contexts, and its manifestation is closely related to pragmatic abilities. Therefore, the ability to use language appropriately in situational contexts is crucial during early childhood. Children suspected of having attention deficit hyperactivity disorder (ADHD) may experience difficulties in pragmatic development, such as difficulties in understanding others' intentions or expressing their own thoughts using appropriate language. To enhance pragmatic abilities, additional guidance strategies are needed in teaching. This study utilizes the characteristics of social stories, which are "lifelike" in their narrative style and have a "structured" syntactic organization, to help children suspected of ADHD overcome pragmatic challenges arising from their traits. The social stories are designed as instructional content in this study.
    The aim of this research is to investigate the effectiveness of social story intervention on the pragmatic abilities of children suspected of ADHD. The participant is a 4-year-old child suspected of ADHD. The research design follows a single-subject A-B-M design, consisting of three phases: baseline (A), intervention (B), and maintenance (M), conducted over a period of eleven weeks. The baseline phase involved pre-observation of the participant's baseline pragmatic abilities. During the intervention phase, five different themed social stories were taught, with each story being taught twice: the first teaching involved reading the social story, and the second teaching involved role-playing social situations related to the theme. Following the intervention withdrawal, the study entered the maintenance phase to observe the participant's pragmatic performance. The data collected from each phase were analyzed using visual analysis and C-statistics, supplemented by qualitative observation records. The results indicate that social story intervention has an immediate effect on the pragmatic abilities of children suspected of ADHD during the intervention phase, and this effect is maintained after the intervention withdrawal, thereby enhancing the participant's pragmatic abilities. Finally, based on the research experiences and results, relevant suggestions are provided for future research and teaching practices for educational practitioners.

    第一章 緒論 1 第一節   研究背景與動機 1 第二節   研究目的與問題 7 第三節   名詞釋義 8 第二章 文獻探討 10 第一節 語用能力的內涵 10 第二節 幼兒語用能力的發展 13 第三節 社會故事與語用能力之關係 25 第三章 研究方法 31 第一節 研究架構與程序 31 第二節 研究對象 33 第三節 資料蒐集 36 第四節 研究工具 47 第五節 資料處理與分析 49 第四章 研究結果 53 第一節 單一受試量化結果分析 53 第二節 社會故事教學法歷程分析 65 第三節 討論 74 第五章 結論與建議 79 第一節 研究結論 79 第二節 研究限制 80 第三節 研究與教學建議 82 參考文獻 85 中文部分 85 西文部分 89 附錄 89 附錄一 家長同意書 95 附錄二 幼兒溝通行為觀察紀錄表(介入前) 96 附錄三 介入後特定情境觀察紀錄表 101 附錄四 社會故事教學法教案 102 附錄五 社會故事提問記錄表 113 附錄六 社會故事檢核表 118 附錄七 「兒童溝通能力檢核表」初次(A1)評量得分表 123

    丁儀馨(2012)。社會故事應用於非語文學習障礙學生之探究。特教園丁,27(4),59-68。
    方以琳、藍瑋琛(2020)。iPad 社會故事介入自閉症幼兒語用能力之探究。特殊教育發展期刊,69,43-53。
    王怡仁、郭慧珍、楊馥榮(2021)。自閉症類群障礙症兒童之人際行為團體治療之成效。北市醫學雜誌。18(3),313-320。
    王亭之、陳麗秋(2017)。學齡期注意力不足過動症之問題與治療。物理治療,42(3),247-256。
    丘珮玲(2001)。口語溝通情境中兒童聽者技巧之發展研究 [未出版之碩士論文]。私立輔仁大學語言學研究所。
    朱思穎(2019)。功能性溝通訓練提升低功能自閉症幼兒自發性社會溝通之個案研究。身心障礙研究季刊,14,55-74。
    江婉寧(2008)。社會故事的基本概念與運用。屏師特殊教育,16,1-8。
    李京燁、梁瓊美、盧婉青(2016)。社會故事對自閉症學生社會互動的應用。南屏特殊教育,7,113-124。
    李治翰、魏慧美(2012)。社會故事教學法提升輕度智能障礙學生課堂互動能力成效之探討。東臺灣特殊教育學報,14,1-30。
    李姝穎、劉秀丹(2020)。手勢溝通教學對語言發展遲緩幼兒溝通能力之影響。溝通障礙教育,7,1-24。
    李淑芬、張正芬、葉啟斌(2017)。心智理論教學提升自閉症幼兒社會技巧成效之研究。特殊教育季刊,143,1-10。
    李穎安(2021)。自閉症與注意力缺陷過動症兒童之口語敘事表現。特殊教育季刊,158,37-48。
    杜正治(2010)。單一受試研究法。心理。
    林迺超(2009)。自閉症光譜障礙與注意力缺陷過動症共病現象之探討。特殊教育季刊,111,18-25。
    林淑莉、胡心慈、趙玉嵐、邱滿艷(2012)。圖卡兌換溝通系統訓練對一位多重障礙兒童之功能性溝通行為的改變。特殊教育季刊,122,1-12。
    林翠英(2018)。自閉症者之教育。載於王文科(主編),特殊教育導論。五南。
    林翠英(2019)。自閉症學生之有效教學策略。特殊教育發展期刊,67,1-10。
    邵允賢(2013)。以社會故事指導自閉症學童行為之教學分享。特教園丁, 28(4),13-20。
    柯香如(2003)。社會故事的應用與探討。台東特教學報,34,1-6。
    孫美鈴、薛明里、吳健忠(2013)。溝通輔具對自閉症兒童溝通成效之研究。特教論壇,14,57-75。
    高欣葦(2021)。社會故事教學策略用於提升自閉症學生社會技巧能力之探究。臺灣教育評論月刊,10(8),207-211。
    教育部(2017)。幼兒園教保活動課程大綱。教育部國民及學前教育署。
    張鶯臻、林玉霞(2018)。社會故事連環漫畫對話法對聽覺障礙學生社交技巧之學習成效。中華民國特殊教育學會年刊,107,73-91。
    梁碧明、劉芙蓉(2011)。社會故事連環圖片在亞斯伯格症國中生社交技巧及語文能力之教學應用。特殊教育季刊,121,8-21。
    莊佩瑾(2006)。社會性故事教學對改善國中高功能自閉症學生互動行為成效之研究 [未出版之碩士論文]。國立台灣師範大學特殊教育研究所。
    許秀萍、蔡宜靜(2016)。對話式閱讀對於弱勢幼兒的語言能力之影響。新竹教育大學教育學報,33(2),61-93。
    陳淑芬(2013)。社交技巧教學對增進臺灣泛自閉症障礙學生社會能力成效之後設分析。特殊教育與復健學報,29,47-71。
    陳淑萍(1999)。社會故事的教導對自閉症學童社會互動之影響研究 [未出版之碩士論文]。中國文化大學兒童福利研究所。
    曹峰銘、劉惠美(2021)。兒童溝通能力發展檢核表第二版。中國行為科學社。
    鈕文英(2016)。身心障礙者的正向行為支持。心理。
    黃金源(2008)。自閉兒的語言變異與矯治。載於黃金源(主編),自閉症兒童的治療與教育。心理。
    黃美慧、鈕文英(2010)。社會故事對廣泛自閉症者介入成效之分析。特殊教育與復健學報,22,1-23。
    楊素花(2003)。高功能自閉症兒童語言表達特質-以表達性語言與互動式語言為例 [未出版之碩士論文]。輔仁大學心理研究所。
    楊蕢芬(2005)。自閉症學生之教育。心理。
    葉佳琪、孟瑛如(2019)。虛擬實境教學用於國小自閉症學生社會技巧訓練 之初探。特教論壇,26,24-41。
    鄒啟蓉(2015)。自閉症兒童非語言溝通能力及與表達性詞彙發展關係研究。特殊教育研究學刊,40(3),1-26。
    廖嘉程、李嘉年(2017)。自閉症患者社會溝通能力介入方法之後設分析文獻回顧。身心障礙研究季刊,15(2),124-134。
    劉碧如(2004)。社會故事教學法對增進國中輕度自閉症學生同儕互動行為之成效研究 [未出版之碩士論文]。國立新竹師範學院特殊教育研究所。
    蔡佩芬、王靖瑜、林瑋怡、楊燕如、黃志雄(2013)。自然環境教學對低口語能力幼兒溝通表現影響之研究。兒童照顧與教育,3,41-71。
    錡寶香(2006)。兒童語言障礙理論、評量與教學。心理。
    錡寶香(2009)。兒童語言與溝通發展。心理。
    謝國平(2000)。語言學概論。三民。
    鍾佳蓁(2004)。自閉兒有效教學法介紹-社會故事教學法。特教園丁,18(4),52-58。
    羅素菁(2006)。社會故事對國小中度自閉症兒童社會能力影響之研究 [未出版之碩士論文]。國立花蓮教育大學身心障礙與輔助科技研究所。
    Acredolo, L., & Goodwyn, S. (1990). Sign language in babies: The significance of symbolic gesturing for understanding language development. Annals of Child Development, 7(1), 1-42.
    Agosta, E., Graetz, J. E., Mastropieri, M. A., & Scruggs, T. E. (2004). Teacher—researcher partnerships to improve social behavior through social stories. Intervention in School and Clinic, 39(5), 276-287.
    Austin, J. L. (1975). How to do things with words. Harvard University Press.
    Balakrishnan, S., & Alias, A. (2017). Usage of social stories in encouraging social interaction of children with autism spectrum disorder. Journal of ICSAR, 1(2), 91-97.
    Bates, E., Camaioni, L., & Volterra, V. (1975). The acquisition of performatives prior to speech. Merrill-Palmer Quarterly of Behavior and Development, 21(3), 205-226.
    Bloom, L., & Lahey, M. (1978). Language development and language disorders. Jonh Wiley & Sons.
    Bloom, L., Rocissano, L., & Hood, L. (1976). Adult-child discourse: Developmental interaction between information processing and linguistic knowledge. Cognitive Psychology, 8(4), 521-552.
    Bochner, S., & Jones, J. (2005). Child language development: Learning to talk. John Wiley & Sons.
    Brinton, B., & Fujiki, M. (1984). Development of topic manipulation skills in discourse. Journal of Speech, Language, and Hearing Research, 27(3), 350-358.
    Butcher, C., Goldin-Meadow, S., & McNeill, D. (Eds.). (2000). Language and gesture. Cambridge University Press.
    Chomsky, N. (1975). Reflections on language. Pantheon. 
    Craig, H. K., & Gallagher, T. M. (1983). Adult-child discourse: The conversational relevance of pauses. Journal of Pragmatics, 7(4), 347-360.
    Dale, P. S. (1980). Is early pragmatic development measurable? Journal of Child Language, 7(1), 1-12.
    Diesendruck, G., & Markson, L. (2001). Children's avoidance of lexical overlap: a pragmatic account. Developmental Psychology, 37(5), 630.
    Dominey, P. F. (2005). Emergence of grammatical constructions: evidence from simulation and grounded agent experiments. Connection Science, 17(3-4), 289-306.
    Dore, J. (1975). Holophrases, speech acts and language universals. Journal of Child Language, 2(1), 21-40.
    Dunham, P. J., Dunham, F., & Curwin, A. (1993). Joint-attentional states and lexical acquisition at 18 months. Developmental Psychology, 29(5), 827.
    Ervin-Tripp, S. (1979). Children's verbal turn-taking. Academic Press.
    Foster, S. H. (1986). Learning discourse topic management in the preschool years. Journal of Child Language, 13(2), 231-250.
    Gallagher, T. M. (1977). Revision behaviors in the speech of normal children developing language. Journal of Speech and Hearing Research, 20(2), 303-318.
    Gallagher, T.(1983). Contingent query sentences with adult-child discourse. Journal of Speech and Hearing Research, 8(1), 51-62.
    Glucksberg, S., & Krauss, R. M. (1967). What do people say after they have learned how to talk? Studies of the development of referential communication. Merrill-Palmer Quarterly of Behavior and Development, 13(4), 309-316.
    Gray, C. (2010). The new social story book. Future Horizons.
    Gray, C. A., & Garand, J. D. (1993). Social stories: Improving responses of students with autism with accurate social information. Focus on Autistic Behavior, 8(1), 1-10.
    Greenfield, P. M., & Smith, J. H. (1976). Structure of communication in early language development. Academic Press.
    Grice, H. P. (1975). Logic and conversation. Brill Press.
    Halliday, M. A. K. (1975). Learning how to mean. Academic Press.
    Hulit, L. M., & Howard, M. R. (2006). Born to talk: An introduction to language development. Allyn & Bacon.
    Ingram, D. (1989). First language acquisition: Method, description and explanation. Cambridge University Press.
    Johnson, C. J., Pick Jr, H. L., Siegel, G. M., Cicciarelli, A. W., & Garber, S. R. (1981). Effects of interpersonal distance on children's vocal intensity. Child Development, 52(3), 721-723.
    Kluth, P., & Shouse, J. (2009). The autism checklist: A practical reference for parents and teachers (Vol. 2). John Wiley & Sons Press.
    Kuder, S. J. (2003). Teaching students with language and communication disabilities. Allyn & Bacon.
    Leonard, L. B. (1981). An invited article facilitating linguistic skills in children with specific language impairment. Applied Psycholinguistics, 2(2), 89-118.
    Levy, Y. (1999). Early metalinguistic competence: Speech monitoring and repair behavior. Developmental Psychology, 35(3), 822.
    MacNeilage, P. F., Davis, B. L., Kinney, A., & Matyear, C. L. (2000). The motor core of speech: A comparison of serial organization patterns in infants and languages. Child Development, 71(1), 153-163.
    Maratsos, M. P. (1973). Nonegocentric communication abilities in preschool children. Child Development,44(3), 697-700.
    Martin, D., & Miller, C. (1996). Speech and language difficulties in the classroom (1st ed.). David Fulton.
    Miller, L. (1984). Problem solving and language disorders. Williams & Wilkins.
    Osgood, C. E., & Miron, M. S. (Eds.). (1963). Approaches to the study of aphasia: A report of an interdisciplinary conference on aphasia. University of Illinois Press.
    Owens, R. E. (2005). Language development: An introduction. Allyn & Bacon.
    Revelle, G. L., Wellman, H. M., & Karabenick, J. D. (1985). Comprehension monitoring in preschool children. Child Development, 56(3), 654-663.
    Rosenthal, M. (1982). Vocal dialogues in the neonatal period. Developmental Psychology, 18(1), 17.
    Roth, F. P., & Spekman, N. J. (1984). Assessing the pragmatic abilities of children: Part 1. Organizational framework and assessment parameters. Journal of Speech and Hearing Disorders, 49(1), 2-11.
    Searle, J. R. (1969). Speech acts: An essay in the philosophy of language. Cambridge University Press.
    Shames, G. H., Wiig, E. H. & Secord, W.A. (1994). Human communication disorders: An introduction. Macmillan.
    Shatz, M., Wellman, H. M., & Silber, S. (1983). The acquisition of mental verbs: A systematic investigation of the first reference to mental state.Cognition, 14(3), 301-321.
    Shatz, M., & Gelman, R. (1973). The development of communication skills: Modifications in the speech of young children as a function of listener. Monographs of the Society for Research in Child Development,38(1) 1-38.
    Skinner, B. F. (1957). Verbal behavior. Appleton-Century-Crofts.
    Smiley, L. R., & Goldstein, P. A. (1998). Language delays and disorders: From research to practice. Singular.
    Snow, C. E. (1977). The development of conversation between mothers and babies. Journal of Child Language, 4(1), 1-22.
    Snow, C. E. & Ferguson, C.A. (1977). Talking to children: Language input and acquisition. Cambridge University Press.
    Toplis, R., & Hadwin, J. A. (2006). Using social stories to change problematic lunchtime behaviour in school. Educational Psychology in Practice, 22(1), 53-67.
    Wellman, H. M., & Lempers, J. D. (1977). The naturalistic communicative abilities of two-year-olds. Child Development, 48(4), 1052-1057.
    Wells, G. (1986). The meaning makers: Children learning language and using language to learn. Heinemann.
    Wepman, J. M., Jones, L. V., Bock, R. D., & Pelt, D. V. (1960). Studies in aphasia: Background and theoretical formulations. Journal of Speech and Hearing Disorders, 25(4), 323-332.
    Zimmerman, K. N., Ledford, J. R., Gagnon, K. L., & Martin, J. L. (2020). Social stories and visual supports interventions for students at risk for emotional and behavioral disorders. Behavioral Disorders, 45(4), 207-223.

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